从气质特征角度看乳腺癌的肝郁属性
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R273

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上海市卫计委名老中医学术经验研究工作室建设项目(SHGZS-2017018);上海市科委医学创新研究专项项目(21Y11923000)


Study on Liver Depression Attribute of Breast Cancer from Perspective of Temperaments
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    摘要:

    目的:从气质特征角度揭示以肝郁论治乳腺癌的可行性。方法:采用艾森克人格问卷简式量表中 国版收集251 例乳腺癌患者的气质特征,分析四维度量表标准分的含义,获得4 种气质类型的人员分布,分析 各维度量表之间的相关性及其内涵。结果:乳腺癌患者的神经质、内外向、测谎、精神质的标准分分别集中在 41.73~62.07 分、45.98~60.62 分、48.49~58.55 分、42.53~53.08 分,情绪不稳者占比35.86%,外向者占比 39.44%,坦诚性较高者占比79.68%,精神质占比8.77%。中间型气质占60.16%,内向不稳定(抑郁质) 多于 其他3 种气质类型,外向稳定(多血质) 的典型型占比最高为54.17%。情绪的稳定性与个性的内外向呈较强 的正相关性(rs=0.704,P<0.01)。内向不稳定(抑郁质) 的乳腺癌患者的典型情绪占比显著高于内外向和外 向型患者(P<0.01)。结论:乳腺癌患者的气质特征从中医的角度理解可以分为因肝气太强或肝气不足所致的 两种不同类型的肝郁,中医药认识和防治乳腺癌可从这两点入手有的放矢。

    Abstract:

    Abstract: Objective: To reveal the feasibility of treating breast cancer based on syndrome differentiation of liver depression from the perspective of temperaments. Methods: The temperaments of 251 patients with breast cancer were collected through the Eysenck Personality Questionaire-Revised Short Scale For Chinese, and the meaning of the standard score of the four-dimension scale was analyzed to obtain the distribution of four temperaments. The correlation and connotation of each dimension scale were analyzed. Results: The standard scores of neuroticism, introversion/extroversion, lie detection and psychoticism of breast cancer patients were 41.73-62.07, 45.98-60.62, 48.49-58.55, 42.53-53.08, respectively. Patients with emotional instability accounted for 35.86%;extroversion accounted for 39.44%; high-honesty accounted for 79.68%, and psychoticism accounted for 8.77%. Patients with intermediate temperament accounted for 60.16%;patients with unstable introversion (melancholic) were more than the other three temperaments,and the stable extroversion (sanguine) accounted for the highest proportion of 54.17%. There was a strong positive correlation between emotional stability and personality (rs=0.704,P< 0.01). The proportion of breast cancer patients with unstable introversion as typical emotion (melancholic) was significantly larger than that of patients with introversion or extroversion (P<0.01). Conclusion: The temperaments of breast cancer patients can be divided into two different types of liver depression caused by excessive liver qi or insufficient liver qi from the perspective of Chinese medicine.

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金岚,屠思远,褚美玲,陈红风.从气质特征角度看乳腺癌的肝郁属性[J].新中医,2024,56(7):195-200

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  • 在线发布日期: 2024-04-11
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